Education
Medical School
U. of Florida
Residency
U. of North Carolina
Fellowship
National Inst of Health
How Doctor Communicates
doctor, nurse available by email
doctor, nurse available by directline
doctor available by personal cell phone
Robert Gustofson works at
CCRM Colorado
At 1 office
Louisville
80 Health Park Dr.
Louisville, CO 80027
(303) 665-0150
114 patient reviews
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While [Dr. Gustofson's] bedside/consultation manner could feel a bit fake-jolly, he always made time to answer as many questions as we had in each session, responded promptly to questions we submitted through the online portal, and provided thoughtful responses when we asked about the evidence behind various parts of our protocol...He also looked more thoroughly into Zika travel recommendations to help make some important international work trips possible before our IVF/retrieval and FET procedures.
$30,495 (before insurance reimbursement): covers one cycle of IVF including PESA, ICSI and FET. Does not include pharmacy (medications) and some labs [at CCRM Colorado]...The finance department was also very helpful in answering questions we had about the costs and options for payment/reimbursement. Weaknesses: Imperfect coordination across care providers. Contradictory information was our main frustration in this process, and it usually stemmed from the Lone Tree staff having different information/assumptions than the Louisville staff, or whoever answered the phone assuming standard operating procedure with our treatment when there were important changes/adjustments made by Dr. G in our file.
How was your experience with Robert Gustofson at CCRM Colorado?
We can't argue with Dr. G's results: the protocol he designed resulted in 4 viable embryos (3 after CCS) on the first IVF attempt, and caused me minimal discomfort while on retrieval and transfer medications. While his bedside/consultation manner could seem a bit fake-jolly, he always made time to answer as many questions as we had in each session, responded promptly to questions we submitted through the online portal, and provided thoughtful responses when we asked about the evidence behind various recommendations/requirements in our treatment. (For example, we wondered why the clinic still required getting Vitamin D levels up, when it isn't clear that it makes a difference for IVF outcomes. Dr. G. sighed and explained that Vitamin D had shown early promise as making a big difference, but now the pendulum was swinging back toward skepticism. In the meantime there was no evidence that boosting Vitamin D hurt IVF outcomes, so they continued to require >30 while the research dust settled.) He also looked more thoroughly into Zika travel recommendations to help make some important international work trips possible before our IVF/retrieval and FET procedures.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Don't be afraid to ask lots of questions, especially if you've done your homework via sites like FertilityIQ and have your checklist of things you want to know. Dr. G may sometimes seem like he's trying to move things along quickly, but he means it when he says "do you have any other questions for me?" and will answer thoughtfully - or he'll check and get back to you within a day or so if he doesn't know the answer right away.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
While his bedside/consultation manner could feel a bit fake-jolly, he always made time to answer as many questions as we had in each session, responded promptly to questions we submitted through the online portal, and provided thoughtful responses when we asked about the evidence behind various parts of our protocol (e.g., why the clinic still required getting Vitamin D levels up when it isn't clear that it makes a difference for IVF outcomes).
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Our profile:
Male factor infertility (10+ year old vasectomy)
Advanced age (male age 48, female age 40)
Female history of large fibroid and asymptomatic endometriosis (removed by laparoscopic myomectomy & lasering 3 years before)
This was our first time attempting to get pregnant. At Dr. G's recommendation, we decided to skip the low-probability steps of reversing a vasectomy, waiting for sperm counts to normalize, and trying naturally or with lighter assistance before advancing to IVF. (We also figured keeping the vasectomy in place was useful, as we only intend to have 1 child.)
Retrieval/IVF protocol:
Estrace (estrogen)
Cetrotide (GnRH blocker)
Menopur (FSH+LH)
Gonal-F (Injectable FSH)
Omnitrope (hGH)
Trigger with Lupralide (GnRH agonist)
Supported with doxycycline (antibiotic) and dexamethosone (corticosteroid) as well as daily prenatal vitamin + 5,000 IU Vitamin D
Retrieval/IVF results:
15 eggs retrieved
13 fertilized via ICSI
8 survived to Day 3
4 survived to Day 5
3 tested as euploid (CCS)
Transfer protocol:
Lupron Depot (endometriosis & fibroid suppression, 2x monthly injection prior to Cycle Day 1)
Birth control pill (cycle timing control)
Estradiol patches
Crinone (progesterone)
Progesterone in Oil (progesterone)
Supported by Medrol (steroid to prevent embryo rejection), doxycycline (antibiotic), and aspirin as well as daily prenatal vitamin + 5,000 IU Vitamin D
FET results:
Uterine lining and hormone levels (P4, E2, TSH, LH) all at desired levels at transfer
Pregnancy and live birth TBD
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Chris)
The nurses and clinic staff were generally great to work with - but were also the source of our biggest frustrations in the process, as multiple times we received contradictory, incomplete, or simply incorrect information, which we only caught because we had our own detailed spreadsheet and calendar. A few examples:
1. I had to travel for work to Zika countries between retrieval and FET, and was instructed just to call on Cycle Day 1 after I was back in the country. However, as we found out later, the 2 months of Lupron Depot I had complete first could have been done while I was abroad, as the Zika waiting period is 8 weeks. When I did call on Cycle Day 1 upon my return, the nurses were about to start me on a standard pre-FET protocol (birth control, etc.) until I reminded them that Lupron Depot was part of my treatment. At that point it was already too late to order and administer the Lupron Depot during that cycle, so we were delayed by yet another month.
2. We were told at the outset to get male communicable disease testing "close to retrieval date" and had planned accordingly, only to be told 2 weeks prior to retrieval that his communicables were late and had to be done within 24 hours - a significant disruption to both our busy work schedules.
3. After one set of labs I was told that I would need to extend one medication that I'd already finished by an extra 1-2 days; my fertility pharmacy was not local and had already closed for the day. I ended up having to take half a day off work to get a refill from a local (but faraway) fertility pharmacy.
4. I received contradictory information from different sources in the clinic whenever my treatment deviated from the norm - such as the 2 months of Lupron Depot mentioned above, the dosage schedule for Crinone (what my insurance allowed) instead of Endometrin, and the date of my pregnancy test (calculated for July 4, but split into two tests on July 3 and 5 to accommodate the holiday). Overall, I got in the regular habit of asking "Could you please double-check that that's what Dr. G specified in my file? Because I heard something different the last time I called."
All that being said, all the nurses and staff were friendly, efficient and responsive, and I did receive prompt calls with my lab results and regular nurse consultations to go over my treatment plan (where we caught a number of these ambiguities/errors).
Describe your experience with CCRM Colorado.
Strengths:
Results and communication. We were really impressed by how I responded to the protocol pretty much exactly as predicted, as did our eggs and embryos - it built a lot of trust in Dr. G, as well as the embryologists and other technicians. And we appreciated how every care provider proactively communicated with us (e.g., after every lab and before every procedure) and was willing to spend time to answer any and all questions.
Administrative departments were also great, from scheduling to billing to sending paperwork. The finance department was also very helpful in answering questions we had about the costs and options for payment/reimbursement.
Weaknesses:
Imperfect coordination across care providers. Contradictory information was our main frustration in this process, and it usually stemmed from the Lone Tree staff having different information/assumptions than the Louisville staff, or whoever answered the phone assuming standard operating procedure with our treatment when there were important changes/adjustments made by Dr. G in our file.
What you should know:
As with any clinic and fertility treatment, be prepared to be more organized than anyone else involved in your care, and to press for clarification/correction whenever something doesn't match your understanding or simply doesn't feel right to you. These are caring professionals who share your goal of a successful pregnancy, and they have an impressive track record of making that happen. But they are still an imperfect operation, especially when it comes to coordinating the little details, so make sure to stay on top of those yourself.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
$30,495 (before insurance reimbursement): covers one cycle of IVF including PESA, ICSI and FET. Does not include pharmacy (medications) and some labs
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Dr. G strongly recommended eSET based on our profile (no history of miscarriage) and preference to have one child. During our first consultation he did write out the statistical rates of success and complication risk for single vs. multiple, and let us make the choice.
What specific things went wrong at CCRM Colorado?
- Failed to inform you of changes in protocol
- Provided conflicting information
- Failed to convey critical information
Describe the specific things that went wrong at CCRM Colorado.
Specified in another free-response section
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While CCRM is a large clinic, Dr G [Gustofson] does a fantastic job of making us feel cared for and seen as people over numbers. ... Dr. G performed a full work up before determining a course of treatment for us. He individualizes every persons care. Due to my specific condition, I was put on 250 units of Clomid, rather than the more typical 100 units. ... He remembers us and our names each time we see him, he asks about our family members by name, and he never rushes the appointment. We always spend at least 10 minutes chatting and catching up on life before delving into any procedural stuff.
The clinic [CCRM] is calm, clean, and well run. At times, you’ll wait a little longer than your appointment time but this is not a common occurrence. Making appointments is easy and they usually have several options. The transitions between rooms is smooth and comfortable. The office suite is a bit hard to find as it is in a wing of a hospital and on an upper floor, so maybe they should provide better direction on where to go when you get there the first time.
How was your experience with Robert Gustofson at CCRM Colorado?
Each time we get to see Dr G it is a truly wonderful experience. He explains everything in a way that we can understand it. For example, instead of throwing the name of a medication at us and moving on, he will show us what it looks like and tell us exactly what it does when it is administered. He cares about us as people and is honest while remaining compassionate. He and his wife have struggled with infertility making him especially relatable and easy to talk to. The one downfall is that Dr G simply determines the course of treatment and monitors it to see if it needs adjustment, but we don’t see him for any minor procedures like IUIs. And unless your retrieval day falls on the days he works at the main office, another doctor will perform your procedure. They do make sure that your doctor is there for your embryo transfer though. He is an incredibly kind and knowledgeable doctor.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Be honest with him and ask as many questions as possible. He will describe everything he can, but it’s up to you to leave with the information you want and need. He will take the time to answer them.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
While CCRM is a large clinic, Dr G does a fantastic job of making us feel cared for and seen as people over numbers. He remembers us and our names each time we see him, he asks about our family members by name, and he never rushes the appointment. We always spend at least 10 minutes chatting and catching up on life before delving into any procedural stuff.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Dr. G performed a full work up before determining a course of treatment for us. He individualizes every persons care.
Due to my specific condition, I was put on 250 units of Clomid, rather than the more typical 100 units.
For IVF, I was on Menopur, Ganirellix, Gonal F, Clomid, and one other that I can’t remember the name of. I was monitored via ultrasound and blood draw each day to determine if a dosage change was needed. It did change often for the best results possible.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Christine Gallagher )
Each patient is assigned to a nurse. Christine was our nurse and she is the best nurse I have ever had in any medical capacity. She is knowledgeable, kind, organized, and an incredible communicator. She is always available for patients to ask any questions or express any worries or thoughts. She never hesitates to comfort people and she only has the best interest of patients in mind. She shared in our sadness at each failed treatment and celebrates the great parts too. She is also an incredible advocate for everyone and takes the appropriate information back to Dr G
Describe your experience with CCRM Colorado.
The clinic is calm, clean, and well run. At times, you’ll wait a little longer than your appointment time but this is not a common occurrence. Making appointments is easy and they usually have several options. The transitions between rooms is smooth and comfortable.
The office suite is a bit hard to find as it is in a wing of a hospital and on an upper floor, so maybe they should provide better direction on where to go when you get there the first time.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
All the costs are pretty transparent on their website but we spent about $600/IUI and the cost of our IVF was $14,667 and we paid $4,000 with insurance. This included all medication and procedures
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Our doctor does single embryo transfers for most patients. He cares about the safety and well-being of women and their babies, which is why he prefers single transfers. He will take this as a case by case basis though.
What specific things went wrong at CCRM Colorado?
- Provided conflicting information
Describe the specific things that went wrong at CCRM Colorado.
Our clinic location is great. One time we had to visit another location of the same clinic due to our location being closed on the weekends. The nurse we saw there was giving us different timing instructions than our nurse did for the trigger shot. We reached out to our nurse and got clarification but it was a bit confusing.
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Dr. G [Gustofson] encouraged us to go right into IVF, which was unsurprising, given my diminished ovarian reserve. My husband and I were more hesitant as we've been successfully pregnant naturally before and wanted to at least try medicated cycles before spending thousands on IVF. Dr. G supported us in this decision and we made changes with each medicated cycle. Our first two cycles were timed intercourse with letrozole.
We've now had experiences with all the other nurses (I think) in the CCRM Louisville office and they are all wonderful. They are all compassionate, organized, extremely responsive, and very knowledgeable.... CCRM is one of the best clinics in the country - they have an excellent lab and they use cutting edge technology.... For 4 medicated cycles, it was approximately $750-1000 per cycle. One IVF cycle will be approximately $24,000.
How was your experience with Robert Gustofson at CCRM Colorado?
I am grateful that Dr. G is 15 minutes from my house as he is a world-renowned RE. My husband and I feel that he looks out for our best interests and truly wants to help us get pregnant. He is honest, direct, and compassionate. He is easy to communicate with and at appointments we have never felt rushed.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Be honest with what you want out of your fertility journey so that Dr. G has a good starting point.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr. G is honest, direct, and compassionate. At first, his directness felt at odds with his very cheery manner (especially when he's not delivering great news) but I appreciate it now. He is extremely responsive (even to emails!) and is open to patient requests. I pushed for a treatment to thicken my lining and while it's not something that he's utilized before, he approved it. I feel he has our best interest at heart.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Dr. G encouraged us to go right into IVF, which was unsurprising, given my diminished ovarian reserve. My husband and I were more hesitant as we've been successfully pregnant naturally before and wanted to at least try medicated cycles before spending thousands on IVF. Dr. G supported us in this decision and we made changes with each medicated cycle. Our first two cycles were timed intercourse with letrozole. Our second two cycles were IUI with letrozole. We upped the dose up the letrozole to 10mg by the third round because I was the most responsive to that. He also put me on estrogen and progesterone to help with my lining issues. I am about to start priming for my first egg retrieval with him. I have a full month of priming on testosterone, estrogen, and progesterone.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Christine G)
My nurse is Christine G. and she is excellent. We've now had experiences with all the other nurses (I think) in the CCRM Louisville office and they are all wonderful. They are all compassionate, organized, extremely responsive, and very knowledgeable.
Describe your experience with CCRM Colorado.
CCRM is one of the best clinics in the country - they have an excellent lab and they use cutting edge technology. Dr. Schoolcraft is one of the most reputable REs in the world. Their main Lone Tree office felt a little sterile to me compared to the cozy Louisville office, but I really have no other comments.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
For 4 medicated cycles, it was approximately $750-1000 per cycle. One IVF cycle will be approximately $24,000.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
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Based on my age and diagnostic results, Dr. Gustofson recommended a single embryo transfer...took time to listen to our background and specific wishes on how wanted our IVF cycle to look (for example, no ICSI). He was very supportive in tailoring our protocol to meet our personal wishes. We never felt rushed in our consultations. He also did a good job of explaining our diagnostic results...factual on what the options and success rates were. We appreciate candid and blunt answers, but also liked his bedside manner. When we had a successful retrieval and transfer, he personally called and visited us during our follow up ultrasounds. We felt he genuinely was excited for us and cared for our situation and follow up.
I appreciate that I can see and print results directly from the patient portal [at CCRM Colorado]. I asked that they always be placed there and they did. The nurses were good to call and let me know results as well - even if the results did not change any course of action I was on. CCRM is a big company, but I never felt like a number at this Louisville branch...we were not assigned a nurse when we started at CCRM. This caused some confusion and bounce around for awhile, but then were assigned the head nurse. Since is a smaller branch of CCRM, they do not assign IVF nurses specifically. This caused some confusion as well when we trying to manage an issue like period not starting so we could start the IVF cycle. Responses to issues like this really depended on which nurse we happened to get at each visit.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. Gustofson took time to explain our diagnostic results and lay out our treatment options. I never felt pressured to take one course over another. He was just factual on what the options and success rates were. We appreciate candid and blunt answers, but also liked his bedside manner. When we had a successful retrieval and transfer, he personally called and visited us during our follow up ultrasounds. We felt he genuinely was excited for us and cared for our situation and follow up.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Don't be afraid to ask for details on your diagnostic testing and protocols. He is happy to share to the extent you want.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr. Gustofson took time to listen to our background and specific wishes on how wanted our IVF cycle to look (for example, no ICSI). He was very supportive in tailoring our protocol to meet our personal wishes. We never felt rushed in our consultations. He also did a good job of explaining our diagnostic results.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
They expected a high egg retrieval count, so carefully monitored to make sure I didn't hyperstimulate. Luckily, I did not and credit this to the well thought out protocol and careful monitoring. We ended up bumping the retrieval date up one day earlier. We chose not to do ICSI and still had a very successful fertilization rate. Since we did not do CCS testing, we also had the option to do a fresh transfer. Since I did not hyperstimulate, this was possible and we had a successful fresh transfer.
Describe your experience with the nursing staff at CCRM Colorado.
For whatever reason, we were not assigned a nurse when we started at CCRM. This caused some confusion and bounce around for awhile, but then were assigned the head nurse. Since is a smaller branch of CCRM, they do not assign IVF nurses specifically. This caused some confusion as well when we trying to manage an issue like period not starting so we could start the IVF cycle. Responses to issues like this really depended on which nurse we happened to get at each visit.
Describe your experience with CCRM Colorado.
I appreciate that I can see and print results directly from the patient portal. I asked that they always be placed there and they did. The nurses were good to call and let me know results as well - even if the results did not change any course of action I was on. CCRM is a big company, but I never felt like a number at this Louisville branch.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Based on my age and diagnostic results, Dr. Gustofson recommended a single embryo transfer. We agreed and that single embryo transfer resulted in a pregnancy.
What specific things went wrong at CCRM Colorado?
- Failed to send your chart to another clinic
Describe the specific things that went wrong at CCRM Colorado.
I did ask for all of my records to be sent to my women's clinic after I transferred their for prenatal care. I submitted the paperwork to CCRM twice to send these records, but they were never sent to my knowledge. I ended up printing the pertinent ones off and just giving them to the clinic myself.
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Dr. Gustafson recommended a microdose lupron flare protocol since I have DOR. It worked much better for me than traditional antagonist cycles I’ve done in the past...We have a frozen embryo that we will likely transfer later by itself. Since we have trouble making blastocysts, Dr. G recommend a day 3 freeze all for our final cycle and put several embryos back. It worked!...correctly predicted my retrieval results without deviation. This man not only knows what he’s doing, but he genuinely cares. He made 11 changes to our treatment plan and wasn’t afraid to think outside the box. I’m currently pregnant from my first transfer ever! Wish I had come here first instead of as my third clinic.
Sarah [nurse at CCRM Colorado] is a dream. She felt like an old friend during my embryo transfer process. She’s lovely and sweet and responsive. Prior to that I had Katherine, who made a number of mistakes and was quite discouraging at one point during the retrieval process. Don’t be afraid to switch as they do have good nurses on staff!...I had one time where there was confusion over bloodwork. Since I was an IVF pro at that point, I knew what was supposed to be happening and easily had the orders fixed...It can feel like a machine but it’s one that knows what they’re doing. You will have to repeat most testing at your one day workup, but it is more through than others. I recommend starting the fertility evaluation process several months before you actually plan to do a retrieval. They had me participate in a study that added 12 weeks. From our first consult, the timeframe for three retrievals and transfer was 10 months, with a month off here and there for medical reasons and mental health vacations.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. Gustafson is the only doctor at CCRM you can email directly. He called me himself with good news and bad, and also talked us into continuing a dismal looking cycle...that one turned out to be my best and resulted in my pregnancy.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Come with questions and he will explain everything. Trust him, he’s an expert.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
My previous RE made me feel hopeless after I had zero embryos to freeze from multiple retrievals. I was told I needed donor eggs. Dr. Gustafson didn’t even believe my numbers and he was right once I had a new eval - things were better than expected! He also correctly predicted my retrieval results without deviation. This man not only knows what he’s doing, but he genuinely cares. He made 11 changes to our treatment plan and wasn’t afraid to think outside the box. I’m currently pregnant from my first transfer ever! Wish I had come here first instead of as my third clinic.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Dr. Gustafson recommended a microdose lupron flare protocol since I have DOR. It worked much better for me than traditional antagonist cycles I’ve done in the past.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Katherine then Sarah)
Sarah is a dream. She felt like an old friend during my embryo transfer process. She’s lovely and sweet and responsive. Prior to that I had Katherine, who made a number of mistakes and was quite discouraging at one point during the retrieval process. Don’t be afraid to switch as they do have good nurses on staff!
Describe your experience with CCRM Colorado.
It can feel like a machine but it’s one that knows what they’re doing. You will have to repeat most testing at your one day workup, but it is more through than others. I recommend starting the fertility evaluation process several months before you actually plan to do a retrieval. They had me participate in a study that added 12 weeks. From our first consult, the timeframe for three retrievals and transfer was 10 months, with a month off here and there for medical reasons and mental health vacations.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
We were fortunate to have some insurance. One day work up was about $5k. Our out of pocket cycle cost us $25k including transfer. Each additional retrieval is about $14k, plus meds which cost me $4-7k per retrieval.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
We have a frozen embryo that we will likely transfer later by itself. Since we have trouble making blastocysts, Dr. G recommend a day 3 freeze all for our final cycle and put several embryos back. It worked!
What specific things went wrong at CCRM Colorado?
- Failed to order appropriate test
Describe the specific things that went wrong at CCRM Colorado.
I had one time where there was confusion over bloodwork. Since I was an IVF pro at that point, I knew what was supposed to be happening and easily had the orders fixed.
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[Dr. Robert Gustofson] is incredible when it comes to communication. As a “Type A” personality, I’m very interested in understanding what’s happening every step of the way. He is very clear, presents all options, takes the necessary time to answer (my list of) questions, calls me back and writes me back within 24 hours on the portal...he presented the facts and made sure I understood what it might mean to have multiples and everything I should take into account. After that meeting, and after hearing more information and detail, I changed my mind and went with Dr G’s recommendation. As a result, we are currently pregnant with one healthy baby!
I would highly recommend this clinic [CCRM Colorado] - it’s clean, spa like and they have amazing technology! At my old clinic...I absolutely dreaded going to the building. Here at CCRM Lone Tree, I’m always very comfortable and they are very accommodating...They [nurses] were incredibly helpful, organized, communicative, etc. I never felt like I couldn’t get a hold of the staff or dr for questions...Worth every penny...As a result, we are currently pregnant with one healthy baby!...
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. G is incredible when it comes to communication. As a “Type A” personality, I’m very interested in understanding what’s happening every step of the way. He is very clear, presents all options, takes the necessary time to answer (my list of) questions, calls me back and writes me back within 24 hours on the portal. We had a VERY different experience with the first fertility we saw in WI, and we feel very blessed to have found Dr G!!
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Trust
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
In every instance Dr G provided the medical diagnosis and then what he would do if I were his wife. I can’t begin to tell you how important the latter was to me and my husband. When it comes right down to it, I want to know what he would do in my situation. We trust him completely.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Sarah)
Once again, my experience with CCRM was a night and day difference from the fertility we left in WI. They were incredibly helpful, organized, communicative, etc. I never felt like I couldn’t get a hold of the staff or dr for questions.
Describe your experience with CCRM Colorado.
I would highly recommend this clinic - it’s clean, spa like and they have amazing technology! At my old clinic in WI I absolutely dreaded going to the building. Here at CCRM Lone Tree, I’m always very comfortable and they are very accommodating.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
Worth every penny
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
I was at a point mentally where I was desperate to get pregnant after 2.5 years of trying, even if that meant I was going to be the next octo-mom. I simply had too many defeats. After talking with Dr G, he presented the facts and made sure I understood what it might mean to have multiples and everything I should take into account. After that meeting, and after hearing more information and detail, I changed my mind and went with Dr G’s recommendation. As a result, we are currently pregnant with one healthy baby!
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Dr. Gustofson really cares about his patients, and takes the time to explain everything. When I approach him about alternative protocols, he takes the time to explain the positives and negatives of that particular approach. I've had 2 unsuccessful transfers and a chemical pregnancy with him, and he was empathetic and sincere when he called me...is a big proponent of eSET. He wants you to have a healthy pregnancy and baby, and not have complications. However, he is willing to transfer two if you are aware of the risks...responds to emails quickly, and he calls with news from genetic testing to positive or negative betas. We can tell he really wants us to have a baby.
Retrievals [at CCRM Colorado] are ~$25,000 with genetic testing (not including meds) Transfers are ~$4500 (not including meds)...you can feel like a number at the actual clinic. The staff is friendly and always responsive, but everything is very "assembly line" in that you have one nurse who does the blood draw, another do the follicle scan, and another that explains your numbers to you, and none of them are your main point of contact nurse. However, as said, everyone is friendly, the clinic is very clean, and I didn't feel my care was ever compromised by their way of doing things.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. Gustofson really cares about his patients, and takes the time to explain everything. When I approach him about alternative protocols, he takes the time to explain the positives and negatives of that particular approach. I've had 2 unsuccessful transfers and a chemical pregnancy with him, and he was empathetic and sincere when he called me.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Dr. Gustofson and CCRM are among the best of the best, but don't expect IVF to work the first time. You still have to be patient.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr. Gustofson responds to emails quickly, and he calls with news from genetic testing to positive or negative betas. We can tell he really wants us to have a baby.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Retrievals-gonal F, double menopur doses, testosterone gel and patches, viagra, estrace, prometrium, saizen, acai supplements, clomid, dexamethasone (antagonist protocol)
Transfers-2 months depot lupron, estradiol patches, estrace, endometrin, PIO, prednisone, pepcid, claritin, lovenox, electro-acupuncture
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Kathryn)
Kathryn is great for the most part. There were a few times that I had to ask for refills/orders when I thought they should have already been taken care of, but overall a great experience.
Describe your experience with CCRM Colorado.
CCRM is known for their lab, which is one of the best in the world. However, you can feel like a number at the actual clinic. The staff is friendly and always responsive, but everything is very "assembly line" in that you have one nurse who does the blood draw, another do the follicle scan, and another that explains your numbers to you, and none of them are your main point of contact nurse.
However, as said, everyone is friendly, the clinic is very clean, and I didn't feel my care was ever compromised by their way of doing things.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
Retrievals are ~$25,000 with genetic testing (not including meds)
Transfers are ~$4500 (not including meds)
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Dr. Gustofson is a big proponent of eSET. He wants you to have a healthy pregnancy and baby, and not have complications. However, he is willing to transfer two if you are aware of the risks.
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Dr. Gustofson is personal, warm, and detail-oriented. He patiently walks you through every step of the procedure or protocol, always pausing to ask questions and ensure you are understanding. He is clearly very skilled at his work and thinks creatively about solutions...allows you to email him directly (as opposed to emailing through his team/nurses), which tells you a lot. He is interested in the doctor-patient relationship...We used quite an aggressive treatment protocol with testosterone patches, estogen patches, menopur, lupron, prometrium, progesterone, as well as fistfuls of supplements. This treatment was aggressive to help me grow more, higher-quality eggs, as my previous cycles were hampered by low-quality eggs.
We used quite an aggressive treatment protocol with testosterone patches, estogen patches, menopur, lupron, prometrium, progesterone, as well as fistfuls of supplements [at CCRM Colorado]. This treatment was aggressive to help me grow more, higher-quality eggs, as my previous cycles were hampered by low-quality eggs...Sarah [nurse] was terrific--responsive, compassionate, organized, detail-oriented, and ALWAYS willing to field a phone call, even for a seemingly minor question. She was on my speed dial for weeks!...The entire IVF round was between $25-$30k...
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. Gustofson is personal, warm, and detail-oriented. He patiently walks you through every step of the procedure or protocol, always pausing to ask questions and ensure you are understanding. He is clearly very skilled at his work and thinks creatively about solutions.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Never hesitate to ask as many questions as you have. He is the one doctor at CCRM who allows you to email him directly (as opposed to emailing through his team/nurses), which tells you a lot. He is interested in the doctor-patient relationship.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr. Gustofson is warm and makes you feel cared about--during every phone call, it was obvious that he had spent time reviewing our chart and situation. He personalized his recommendations often by saying, "If you were my wife" or "if you were my daughter," which gave me peace of mind. CCRM overall is a well-oiled machine, so it is easy to feel like a number, but our interactions with Dr. G felt quite personal.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
We used quite an aggressive treatment protocol with testosterone patches, estogen patches, menopur, lupron, prometrium, progesterone, as well as fistfuls of supplements. This treatment was aggressive to help me grow more, higher-quality eggs, as my previous cycles were hampered by low-quality eggs.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Sarah)
Sarah was terrific--responsive, compassionate, organized, detail-oriented, and ALWAYS willing to field a phone call, even for a seemingly minor question. She was on my speed dial for weeks!
Describe your experience with CCRM Colorado.
CCRM is very well-run: booking appointments, the one-day work-up, setting dates for procedures, were all very easy. The finance office is hard to reach and a bit confusing, but ultimately I found a very helpful employee who made the process infinitely easier. It can feel a little impersonal, as you may not see your nurse every visit, and you certainly won't see your doctor, but everyone is kind, professional, and willing to answer any questions.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
The entire IVF round was between $25-$30k.
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Dr. G[ustofson] is great to work with and I’m so glad he’s our doctor. He is very knowledgeable and I trust his expertise. He is very responsive to communication. I’m glad to see him at the Louisville clinic, which in my experience is more welcoming and less intimidating than the huge Lone Tree clinic...daily Omnitrope (human growth hormone) for the first 5 days. I was also on a daily steroid...The priming included testosterone gel and patches, estrogen pills, and progesterone suppositories.
I love the Louisville location [of CCRM]. It’s small and feels welcoming. The Lone Tree location I have found to be intimidating because it’s so big and fancy, and I don’t know the staff there as personally. All of the surgery staff at Lone Tree were beyond excellent though - so warm and reassuring...All of the nurses and ultrasound technicians are wonderful. Our nurse has been great to work with and we spoke daily throughout this process. She later very easy to get a hold of and always patient and responsive with my questions
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. G is great to work with and I’m so glad he’s our doctor. He is very knowledgeable and I trust his expertise. He is very responsive to communication. I’m glad to see him at the Louisville clinic, which in my experience is more welcoming and less intimidating than the huge Lone Tree clinic.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr. G is so kind and his demeanor makes me feel comfortable and at ease
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
My stim protocol was 150 menopur + 300 follistim as well as daily Omnitrope (human growth hormone) for the first 5 days. I was also on a daily steroid and started Ganirelix on day 5 or 6 I think. Trigger shot was Pregnyl. I also was on 30 days of priming for the month prior to the injectibles. The priming included testosterone gel and patches, estrogen pills, and progesterone suppositories.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Christine G)
All of the nurses and ultrasound technicians are wonderful. Our nurse has been great to work with and we spoke daily throughout this process. She later very easy to get a hold of and always patient and responsive with my questions
Describe your experience with CCRM Colorado.
I love the Louisville location. It’s small and feels welcoming. The Lone Tree location I have found to be intimidating because it’s so big and fancy, and I don’t know the staff there as personally. All of the surgery staff at Lone Tree were beyond excellent though - so warm and reassuring.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
So far we have paid roughly 15k for surgery, procedure, IVF cycle #1 and meds. Our treatment is partially covered by insurance at this point but our insurance is limited to 25k lifetime max so if this process takes more than 2 cycles for us our expenses will contribute substantially.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Dr. G advised us on the risks of multiple embryo transfer and shared his opinion that a single embryo transfer was best. Our insurance only covers single embryo transfer so that makes it easy.
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Face time with Dr. G[ustofson] has been very limited. He is kind and personable when we have spoken, but it always feels a little bit rushed and speaking to him directly (rather than a nurse) is rare. He does remember details about our lifestyle, where we live, etc...has a good sense of humor (which we appreciate, but I could see being a deterrent for some folks). We just wished he had been a little bit more communicative in person. When most of your communication is done through a nurse (although I understand that this is the norm) it can make you feel a bit disconnected from the doctor. We have felt like we are in competent hands.
The nurses were all very kind and the facility [CCRM Colorado] always felt clean and professional. The whole process ended up taking a lot longer than was originally told (some of this is just due to hormones, etc. that nobody has control over) and this could be frustrating...When most of your communication is done through a nurse (although I understand that this is the norm) it can make you feel a bit disconnected from the doctor. We have felt like we are in competent hands.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. G is very personable and has a good sense of humor (which we appreciate, but I could see being a deterrent for some folks). We just wished he had been a little bit more communicative in person. When most of your communication is done through a nurse (although I understand that this is the norm) it can make you feel a bit disconnected from the doctor. We have felt like we are in competent hands.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
He has a good reputation and seems very competent, but just be aware you might not have much face (or voice) time with him!
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Face time with Dr. G has been very limited. He is kind and personable when we have spoken, but it always feels a little bit rushed and speaking to him directly (rather than a nurse) is rare. He does remember details about our lifestyle, where we live, etc.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
After all of the tests we were diagnosed with low sperm count/motility. I had to take injections of Menopur, Cetrotide and Gonal F (which all made me feel super bloated and crampy, although not as bad as I was expecting). I ended up having to take more doses than originally prescribed, which I didn't really understand the reasoning for. This part was a bit rough financially. The retrieval was done by another doctor (which just happens because they have to time it based on your hormone levels and who happens to be working what day). We had 21 eggs retrieved, 11 turned into embryos, and 3 mature enough to freeze. For some reason we didn't realize it could yield so little from so many eggs! We were also hoping for a fresh transfer, but apparently it was too dangerous given my hormone levels, so we will do the frozen transfer 2 months after the retrieval - which was also a much larger time window than we had expected/been told originally.
Describe your experience with CCRM Colorado.
The Louisville (Avista) campus was good about communication, but we ran into more trouble with that from the Lone Tree campus, which can be frustrating as they are the only ones open on the weekends and the only surgery center. The nurses were all very kind and the facility always felt clean and professional. The whole process ended up taking a lot longer than was originally told (some of this is just due to hormones, etc. that nobody has control over) and this could be frustrating.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
$2,800 for the package including first consultation, regroup, blood tests, testing
$20,000 for IVF cycle
Additional $3,000 for lab results that were sent out
$6,000 for IVF medications
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Dr. G really seems only open to single embryo transfer vs. multiple. After my own research that did seem like the safer way to go, but if we weren't trying to move the process along as quickly as we could I might have seeked out a second opinion.
What specific things went wrong at CCRM Colorado?
- Failed to call with results
- Provided conflicting information
Describe the specific things that went wrong at CCRM Colorado.
Embryology failed to call us with our Day 6 update on embryos and I had to try to track them down after I was told I couldn't be connected to them and had to go through my nurse (when my nurse had told me I had to talk to embryology). We also almost had to cancel our retrieval after I had already started (the very expensive) injection meds because we were told my husband could wait to go to the urologist (they pretty much require you use the one they work with). We had to wait to schedule with the urologist because he was booked/out of town and even though we were told that it was okay to move forward with the meds, the urologist thought my husband had a prostate infection. Luckily this ended up not being the case, but if it had we would have had to cancel the retrieval and start all over with new meds/new cycle
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It is hard to rate my doctor [Dr. Gustofson] because the nurses are who you will work with the most. The two meetings I had with Dr. Gustofson were pleasant and he seemed to care about us as a patient. I am sure If I was doing IVF I would see him more...He went through all of the details of my treatment in ways that I could understand and did not seem like he was in a hurry when he was with me. I only met with him twice so far and he was very understanding and did not question me wanting to do the treatment while my husband is deployed.
The nurses [at CCRM Colorado] do most of the stuff at the clinic including IUIs. My nurse was great when I was there. She explained all of the risks and performed the IUI easily and quickly. She was compassionate when I called and told her that the IUIs failed. I cried on the phone as she explained my options from then on...We did about $2500 on testing and initial consult. The IUIs were about $1400 each...The biggest weakness of the clinic is their hours. They only take appointments until 3:15. This timing is difficult when you cannot preplan appointment because it is determined by your cycle and you are trying to work full time. Other than that the clinic was always nice and compassionate.
How was your experience with Robert Gustofson at CCRM Colorado?
He went through all of the details of my treatment in ways that I could understand and did not seem like he was in a hurry when he was with me. I only met with him twice so far and he was very understanding and did not question me wanting to do the treatment while my husband is deployed.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
I would recommend that you you are prepared for all of the appointments. Dr. Gustofson seems great.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
It is hard to rate my doctor because the nurses are who you will work with the most. The two meetings I had with Dr. Gustofson were pleasant and he seemed to care about us as a patient. I am sure If I was doing IVF I would see him more.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
For drugs, I just used clomid and the trigger shot. I was monitored by ultrasound for the size of my follicles. I responded well to the drugs so I did not have to change up my meds. I am on my 3rd IUI so hopefully it works.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Christine W)
The nurses do most of the stuff at the clinic including IUIs. My nurse was great when I was there. She explained all of the risks and performed the IUI easily and quickly. She was compassionate when I called and told her that the IUIs failed. I cried on the phone as she explained my options from then on.
Describe your experience with CCRM Colorado.
The biggest weakness of the clinic is their hours. They only take appointments until 3:15. This timing is difficult when you cannot preplan appointment because it is determined by your cycle and you are trying to work full time. Other than that the clinic was always nice and compassionate.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
Everything was out of pocket for us. We did about $2500 on testing and initial consult. The IUIs were about $1400 each.
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Every time we have met with him [Dr. Gustofson] it has been for at least 45 minutes. He takes a genuine interest in our lives outside of infertility...He is thorough, knowledgeable, caring and a good communicator. He has given us hope that IVF will work for us but also made sure we are aware of the risks. He had taken the time to explain every step as we go and given us the opportunity to ask questions...He encouraged us to transfer a single embryo because our chances of having multiples would be high and he made us aware of the risks associated with multiples.
We had some issues with the financial side of things [at CCRM Colorado]. We had paid for the pre-IVF workup package but they tried to charge both me and my husband on separate occasions for testing that was included in that package. They also took my husband’s insurance card multiple times and were attempting to bill the insurance company despite the fact that we told them many times that we do not have infertility coverage.
How was your experience with Robert Gustofson at CCRM Colorado?
He is thorough, knowledgeable, caring and a good communicator. He has given us hope that IVF will work for us but also made sure we are aware of the risks. He had taken the time to explain every step as we go and given us the opportunity to ask questions.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Every time we have met with him it has been for at least 45 minutes. He takes a genuine interest in our lives outside of infertility.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Emily )
Emily is caring and knowledgeable. She has keep me updated every step of the way and is very responsive to my questions and concerns. She responds emails within 24 hours and works closely with the Dr to guide us through this process.
Describe your experience with CCRM Colorado.
They are responsive to phone calls and easy to reach to schedule appointments. There have been some issues surrounding the financial aspect of our treatment such as trying to charge us for things we already paid for or trying to bill our insurance when we have told them we do not have any infertility coverage. You have to keep on top of your finances to make sure that everything is in order.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
IVF with ICSI approximately $18,000 and Pre-IVF workup approximately $2800
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
He encouraged us to transfer a single embryo because our chances of having multiples would be high and he made us aware of the risks associated with multiples.
What specific things went wrong at CCRM Colorado?
- Provided conflicting information
Describe the specific things that went wrong at CCRM Colorado.
We had some issues with the financial side of things. We had paid for the pre-IVF workup package but they tried to charge both me and my husband on separate occasions for testing that was included in that package. They also took my husband’s insurance card multiple times and were attempting to bill the insurance company despite the fact that we told them many times that we do not have infertility coverage.
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He [Dr. Gustofson] is so kind and genuine. He is very responsive. He also has a great sense of humor which is much appreciated in the stressful environment of fertility treatments. He explains everything in detail, without being condescending if you ask any questions....Due to having PCOS, Dr. G thought I might over-stimulate and was therefore cautious on my first retrieval cycle. Unfortunately this resulted in only having one embryo available for transfer. For any future cycles, he has already adjusted the protocol to be more aggressive.
Billing office [CCRM Colorado] is a huge weakness. No one really seems to know what they are doing and they err on the side of patient error every time (even though job my case it's been their error every time). They have no compassion. The front desk staff often seem annoyed. I've had a phlebotomist complain to me about her kids - know your audience! All that being said, I think CCRM does have many experts and many great care team members.
How was your experience with Robert Gustofson at CCRM Colorado?
He is so kind and genuine. He is very responsive. He also has a great sense of humor which is much appreciated in the stressful environment of fertility treatments. He explains everything in detail, without being condescending if you ask any questions. He really is just a great doctor and one that I'm glad I found.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr. G really cares for his patients. He is so responsive and genuine.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Due to having PCOS, Dr. G thought I might over-stimulate and was therefore cautious on my first retrieval cycle. Unfortunately this resulted in only having one embryo available for transfer. For any future cycles, he has already adjusted the protocol to be more aggressive.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Helen)
Helen is so kind and organized. She's very helpful in explaining things and she anticipates questions we might have before we even have them. She has no judgement when it comes to decisions we've made and stands behind us no matter what.
Describe your experience with CCRM Colorado.
Billing office is a huge weakness. No one really seems to know what they are doing and they err on the side of patient error every time (even though job my case it's been their error every time). They have no compassion. The front desk staff often seem annoyed. I've had a phlebotomist complain to me about her kids - know your audience! All that being said, I think CCRM does have many experts and many great care team members.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
For one cycle of IVF, including FET, ICSI, and CCS testing, we paid about $25k. (Not including meds)
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
He strongly advised transferring one embryo and advised us of risks of twins.
What specific things went wrong at CCRM Colorado?
- Failed to convey critical information
Describe the specific things that went wrong at CCRM Colorado.
During one of my IUIs, I suddenly noticed a change in protocol (different drug). My previous nurse had failed to explain this to me, as well as the reason for the change. Several other things went awry that cycle with that nurse, but I was able to change nurses and am much happier.
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Initially, my experience was not favorable. I was 29 and presented with high fsh/low amh, low egg count and quality. He [Dr. Robert Gustofson] told me very pointedly that he would not do IVF with my own eggs. The delivery was too frank for this type of news and there was very little empathy. It felt like they were unwilling to try because it would greatly impact their statistics in a negative way if it did not work.
The general nursing staff at the Louisville branch [of CCRM] (my primary location) was nice, efficient and helpful. Carolyn - my main nurse contact there - was great and answered a lot of frantic questions with compassion. The rest of the nursing staff was fine, not exceptionally warm or friendly, but they did their jobs well. My primary donor nurse, Kristi, was incredible. I cannot say enough good things about her! Throughout the entire process she was patient, personable, friendly, and answered my MANY questions with grace and thoughtfulness.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. G is in a tough spot - it requires him to be frank, but also compassionate. He does not ooze warmth and there are some patients (me included, at least initially) that require that when seeking fertility treatments. But he is honest and forthcoming and always has his patients best interests in mind. I felt like I was in capable hands when we proceeded with treatments.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Dr. G has your best interests in mind and will be truthful when it comes to your care, but he won't sugarcoat anything and won't be the person you lean on emotionally.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Initially, my experience was not favorable. I was 29 and presented with high fsh/low amh, low egg count and quality. He told me very pointedly that he would not do IVF with my own eggs. The delivery was too frank for this type of news and there was very little empathy. It felt like they were unwilling to try because it would greatly impact their statistics in a negative way if it did not work. The impersonal interaction made me take a break from CCRM for several years.
When we finally returned to the clinic, we had a conversation with Dr. G about our previous interaction and he immediately changed his tune. Since then, he has been friendly, personable and caring.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
It has been 3 years since my last treatment with Dr. G, so I cannot remember specific medications or protocols. But Dr. G had a solid game plan, monitored me closely and always explained in detail if anything needed to change.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Kristi Bishop)
The general nursing staff at the Louisville branch (my primary location) was nice, efficient and helpful. Carolyn - my main nurse contact there - was great and answered a lot of frantic questions with compassion. The rest of the nursing staff was fine, not exceptionally warm or friendly, but they did their jobs well.
My primary donor nurse, Kristi, was incredible. I cannot say enough good things about her! Throughout the entire process she was patient, personable, friendly, and answered my MANY questions with grace and thoughtfulness. She always went above and beyond to make me feel comfortable and even stepped in to assist with a billing snafu when we were abroad. I felt I could always count on Kristi for anything, and that really put my mind at ease during such a trying, emotional time.
Describe your experience with CCRM Colorado.
The Colorado Center for Reproductive Medicine is a world-renowned fertility clinic for a reason - they provide state-of-the-art treatments, innovative research, and techniques that give them higher success rates than many of their counterparts. The staff is well-trained and things are done very efficiently. However, this often creates a very sterile environment where you feel more like a cog in the wheel than a living, breathing human with a personal story. This is more evident in the extravagant Lonetree location than in smaller, homier Louisville.
The other glaringly obvious issue is the business office. For such a larger, profitable organization, they are disorganized and often rude. One example of their ineptitude - they failed to inform us about the due date for a $30,000 payment and then insisted we find a way to pay it within 12 hours when we were on vacation in Italy. There mistake, but ours to fix. I was continually shocked at how many errors and inefficiencies we encountered and they were VERY frustrating given how much we were paying the clinic for our treatments.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
Donor IVF cycle (including donor meds and fees and my transfer) totaled approximately $44,000. Additional medications for me were about $4,000. Total for the entire procedure was $48,000.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Because I was otherwise very healthy and since our young donor produced an exceedingly high number of highly graded embryos, Dr. G was very clear about the fact that he would not transfer more than one. He explained that he was very confidant the treatment would be successful and explained the immense risks to me and the babies if I were to carry multiples.
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Dr. Gustafson was honest, kind, thoughtful. While we never made it past 7 weeks, you could tell he was rooting for us and truly disappointed and sorry that things didn't work out for us. From the get go, we had already done a cycle of IVF without success (chemical and miscarriage of trisomy 13 at 6.5 weeks), he told us there were no medical reasons to not try again. We ended up with 9 CCS normal embryos. However, after 2 failed transfers (chemical and blighted ovum) he told us one of things wad happening. Despite my hysteroscopy and all labs/scans looking normal, my uterus wasn't a good environment or there was something behind chromosomes that is genetically wrong with the embryos.
[the nurses at CCRM CO-Louisville were] Not compassionate. Told me the gender of one of our embryos even though I explicitly told them I didn't want to know. Never caked me when my thyroid labs were abnormal, I called multiple times asking for the results. Not at all compassionate when I was worried about miscarrying based on those results. More concerned about setting up an appointment than giving me a minute after we did miscarry to process the information.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. Gustafson was honest, kind, thoughtful. While we never made it past 7 weeks, you could tell he was rooting for us and truly disappointed and sorry that things didn't work out for us. From the get go, we had already done a cycle of IVF without success (chemical and miscarriage of trisomy 13 at 6.5 weeks), he told us there were no medical reasons to not try again. We ended up with 9 CCS normal embryos. However, after 2 failed transfers (chemical and blighted ovum) he told us one of things wad happening. Despite my hysteroscopy and all labs/scans looking normal, my uterus wasn't a good environment or there was something behind chromosomes that is genetically wrong with the embryos. Our final transfer resulted in a pregnancy but miscarriage at 7 weeks. He was so kind during our D&C and told us he was always there for us. We still have 5 embryos and may some day decide to transfer them or pursue a gestational carrier, but are also at peace that Dr. Gustafson did everything in his power, knowledge, expertise to help us be parents.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Trust him. He will be honest with you. And like he told us on our first consultation he'll "tell you when to get off of the roller coaster". And he doesn't say that to be mean. He says it for your own sanity. He doesn't want to just take your money over and over if he doesn't think it will work.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
He was personable, kind, honest. He'd remember things about us.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
I honestly don't remember what protocol we used for egg retrieval.
First FET e-set of day 5AA CCS normal blast. Lupron started when bcp stopped. Vivelle patches increasing. Endometrium, PIO and me from.
2nd FET added antihistamine protocol with aspirin, claritin, pepcid, and prednisone.
3rd FET antihistimine protocol and lovenox.
Describe your experience with the nursing staff at CCRM Colorado.
Not compassionate. Told me the gender of one of our embryos even though I explicitly told them I didn't want to know. Never caked me when my thyroid labs were abnormal, I called multiple times asking for the results. Not at all compassionate when I was worried about miscarrying based on those results. More concerned about setting up an appointment than giving me a minute after we did miscarry to process the information.
Describe your experience with CCRM Colorado.
Overall CCRM has so many patients I can see where it feels like you're a number. However my personal doctor did not make me feel that way. Nursing staff wad terrible. Buildings themself clean. Lab people friendly. Usually fairly easy to make appointments
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
$22000 for egg retrieval, 1st transfer. $5000 for each subsequent FET
Meds totaled probably $1000
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
First 2 transfers did e-SET then did embryos on 3rd transfer.
What specific things went wrong at CCRM Colorado?
- Failed to call with results
- Failed to order appropriate test
- Lost results
- Provided conflicting information
Describe the specific things that went wrong at CCRM Colorado.
Miscarriage labs not sent on ice and had to have nearly 50ml of blood redrawn.
Thyroid labs after positive pregnancy test nor followed up on until I kept calling about them.
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Overall I found Dr. Gustofson very caring and I felt he really knew what he was doing. My only issue related to Dr. Gustofson was that he left town during a crucial part of my treatment (which I completely understand and don’t hold against him) but neither he nor his staff mentioned he would be leaving so it was offputting for me to find this out when I needed to ask him a question regarding treatment and he was gone.
I found most of the staff [CCRM] I encountered to be very nice and helpful, the facility itself was nice and I think that overall things run pretty smoothly with the day to day there. As a clinic I don’t think they have many weaknesses other than some of the staff did not seem great with communication some of the time.... We paid approx $25,000 for the IVF up front (this did not include the IVF meds or the full day work up we first had to do which
How was your experience with Robert Gustofson at CCRM Colorado?
Overall I found Dr. Gustofson very caring and I felt he really knew what he was doing. My only issue related to Dr. Gustofson was that he left town during a crucial part of my treatment (which I completely understand and don’t hold against him) but neither he nor his staff mentioned he would be leaving so it was offputting for me to find this out when I needed to ask him a question regarding treatment and he was gone.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
He seems like a genuinely caring doctor.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
I felt Dr. Gustofson was very warm and personable when I met or communicated with him but I had quite a bit of trouble with communication with other staff including nurses. I felt that at some pretty important times I had a hard time getting a response from the appropriate staff member. That said, Dr. Gustofson was really good with the communication.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Priming meds:
Estrace 2mg - cycle day 2 on
Testosterone gel - day 3-20
Prometrium 200mg - 2x day/ day 16-25
Testosterone patch 2mg - day 21-25
Cetrotide 0.25mg - day 23-25
Stim meds:
Viagra 50mg 2x a day
Menopur 150units 2x a day
Gonal-F 300 units once a day
Dexamethasone 0.5mg once a day
Saizen 0.4ml once a day
Clomid 100mg once a day (added when follicles were not growing enough and injections were switched to intramuscular instead of sub q)
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Aiyana Coon)
I felt at times that Aiyana was very nice, organized and communicated well but there were times that I was very frustrated with the lack of comminication from her and almost requested to be switched to the care of another nurse.
Describe your experience with CCRM Colorado.
I found most of the staff I encountered to be very nice and helpful, the facility itself was nice and I think that overall things run pretty smoothly with the day to day there. As a clinic I don’t think they have many weaknesses other than some of the staff did not seem great with communication some of the time.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
We paid approx $25,000 for the IVF up front (this did not include the IVF meds or the full day work up we first had to do which I can’t remember the exact cost of but it wasn’t inexpensive). Because the cycle was cancelled we were refunded around $21,000.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
For my age group he recommended one embryo be transferred at a time to reduce chances of multiples because of higher risk. I completely agreed with this approach.
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During our consultation, he rushed through a formulaic explanation of the severity of my condition while I openly cried because I was receiving difficult information for the first time. He didn't pause to let me gain my composure. I had to find tissues myself to wipe off my face....Dr. Gustofson was direct and thorough in his explanations, but came off as quite callous. I believe his assessment erred on the reasonably conservative side of what options were possible for me, and his recommended treatment was equally thorough and aggressive.
Scheduling was problematic. When I showed up for my appointment, I was not on the doctor's schedule despite all my confirmations. They [CCRM Colorado] squeezed me in between other appointments. But this made my appointment feel rushed and my doctor seemed stressed. The billing office was initially very responsive but never gave me detailed information on IVF billing as promised.... A nurse walked us through possible next steps after our consultation but did not follow up with us about questions as promised.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. Gustofson was direct and thorough in his explanations, but came off as quite callous. I believe his assessment erred on the reasonably conservative side of what options were possible for me, and his recommended treatment was equally thorough and aggressive. I found his manner to be very dismissive and unkind, as did my partner. Because of this, and a move to a new state, we decided to work with another doctor.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Dr. Gustofson seems competent and thorough. I would expect aggressive fertility treatments, and I would not expect a gentle bedside manner.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
During our consultation, he rushed through a formulaic explanation of the severity of my condition while I openly cried because I was receiving difficult information for the first time. He didn't pause to let me gain my composure. I had to find tissues myself to wipe off my face.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
We only received a consultation from Dr. Gustofson. He recommended IVF with PGS and genetic screening for Fragile X because I have diminished ovarian reserve.
Describe your experience with the nursing staff at CCRM Colorado.
A nurse walked us through possible next steps after our consultation but did not follow up with us about questions as promised.
Describe your experience with CCRM Colorado.
Scheduling was problematic. When I showed up for my appointment, I was not on the doctor's schedule despite all my confirmations. They squeezed me in between other appointments. But this made my appointment feel rushed and my doctor seemed stressed. The billing office was initially very responsive but never gave me detailed information on IVF billing as promised.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Dr. Gustofson explained the benefits and risks of single and multiple embryo transfer. I did not get the impression he would push us in either direction had we chosen to move forward with him.
What specific things went wrong at CCRM Colorado?
- Lost appointments
- Failed to convey critical information
Describe the specific things that went wrong at CCRM Colorado.
As mentioned, my appointment couldn't be found and the office didn't call with follow-up clinical and billing information as promised.
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Based on my age and health, [Dr. Gustofson] was incredibly clear that we should only transfer 1 embryo. I will forever be grateful for his guidance specifically on that subject. Due to his diligence, my son was born healthy and with no complications, and I am currently pregnant and hoping for the same outcome...He clearly stated expectations and our course of action with compassion and clarity. He listened to our concerns and questions and delicately give an explanation. His positive attitude paired with his expertise were exactly what my family needed each visit. I couldn't recommend a better doctor. We have the utmost respect for Dr. G and had the most positive experience we could have with medical care under the supervision of Dr. G.
Chris [nurse at CCRM Colorado] was dedicated, energetic, knowledgeable, flexible, diligent, and a problem solver. Anytime I called, she would listen intently and immediately have a plan. After I "graduate" from the clinic, I always miss talking to her...the cost CCRM gave at the beginning of the cycle is exactly what I paid. There were no hidden costs associated with my cycle. They were upfront with the cost.
How was your experience with Robert Gustofson at CCRM Colorado?
We trust Dr. G as we would an old friend. He clearly stated expectations and our course of action with compassion and clarity. He listened to our concerns and questions and delicately give an explanation. His positive attitude paired with his expertise were exactly what my family needed each visit. I couldn't recommend a better doctor. We have the utmost respect for Dr. G and had the most positive experience we could have with medical care under the supervision of Dr. G.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
You are fortunate to be in his care.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
My entire family felt heard, valued, and understood. It was a medical experience we've seldom had elsewhere.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Chris)
Chris was dedicated, energetic, knowledgeable, flexible, diligent, and a problem solver. Anytime I called, she would listen intently and immediately have a plan. After I "graduate" from the clinic, I always miss talking to her.
Describe your experience with CCRM Colorado.
The entire staff is absolutely impeccable. They are friendly, knowledgeable, and have high standards of communication between patients and staff. Their precise and diligent. When multiple appointments are scheduled, they run seamlessly with little wait time in between. I always leave impressed with their professionalism, yet engaging personalities.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
My insurance did not cover any of the cost of my initial IVF treatment, or my second transfer. Therefore, the cost was high, I'd prefer not to state specifics, but the cost CCRM gave at the beginning of the cycle is exactly what I paid. There were no hidden costs associated with my cycle. They were upfront with the cost.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Based on my age and health, Dr. G was incredibly clear that we should only transfer 1 embryo. I will forever be grateful for his guidance specifically on that subject. Due to his diligence, my son was born healthy and with no complications, and I am currently pregnant and hoping for the same outcome.
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He [Dr. Robert Gustofson] is honest, kind, and very aware of our specific struggles both emotionally and physically. He communicated exactly what I told him that I needed, and he was available if I ever needed him or his team. Very reliable.... Given I had multiple miscarriages and he had files form 2 prior doctors, he wasnt afraid to go full court press and have me take acai supplements, growth hormone, testosterone, along with the other usual injections.
The clinic [CCRM] is gorgeous, very operationally efficient, and everyone communicates very well to each other. They have orientation that answers all questions, have several areas where specific things are done (lab vs ultrasound, etc) and each section tells the other when they are done so that what could have been a long visit turns out to be very short. Although it may seem like a baby-making factory, it is highly efficient and they know exactly what they are doing. They even have the "extras" like acupuncture and massage etc.
How was your experience with Robert Gustofson at CCRM Colorado?
I actually referred a colleague to him and he was also great with her. He is honest, kind, and very aware of our specific struggles both emotionally and physically. He communicated exactly what I told him that I needed, and he was available if I ever needed him or his team. Very reliable.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
He is very positive, and honest - be prepared for that. He wants you to succeed as much as you do.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
There truly are no words to describe how appreciative we are of the Dr and his nurses/clinic for taking our case and trying everything without fear, and for it to end in success makes it even more special. They were so kind, reliable, and cared so genuinely throughout our process. Given my commute from CA, they were on it! My calendar was known weeks in advance and I only had to travel there 3 times, and they told me exactly what I needed to do via phone and email. Their honesty and positive attitude also went a long way with us.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Given I had multiple miscarriages and he had files form 2 prior doctors, he wasnt afraid to go full court press and have me take acai supplements, growth hormone, testosterone, along with the other usual injections. The lab at CCRM is amazing and very thorough.
Describe your experience with your nurse at CCRM Colorado.
AMAZING!!! They knew exactly what they were doing and ran that clinic more than the doctors did at times. They were reliable and very detail oriented.
Describe your experience with CCRM Colorado.
The clinic is gorgeous, very operationally efficient, and everyone communicates very well to each other. They have orientation that answers all questions, have several areas where specific things are done (lab vs ultrasound, etc) and each section tells the other when they are done so that what could have been a long visit turns out to be very short. Although it may seem like a baby-making factory, it is highly efficient and they know exactly what they are doing. They even have the "extras" like acupuncture and massage etc.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
Insurance didnt pay for anything so all was out of pocket and costs similar to other fertility clinics
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
He only allowed for us to transfer one to avoid twinning since that would cause a high risk pregnancy.
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Dr. Gustofson brought the perfect balance of science and humanity. His bedside manner was just what a 7 year infertility patient whose lost hope in her body needs. He has a genuine love of life, people and a passion for what he does. His approach (as well as CCRM's) is super structured, extremely diligent which allows him to move through patient challenges and resolve them in an appropriate timeline. Within 1 day, we had all the answers we needed to correct our 7 year battle.
CCRM has mostly strengths—their super structured, diligent practice delivers results in a reasonable timeline. Infertility is not fast, it is not cheap. I don't believe one can go in thinking it is. CCRM handles the process as perfectly as one can.... We spent around 24k for retrieval & transfer with with CCS. This included all labs and scans for both. Not included was meds which were around 6k. We spent another 10k on surgeries and in-office hysterscopies. Our full day of tests cost around 4-5k. Travel was additional.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. Gustofson brought the perfect balance of science and humanity. His bedside manner was just what a 7 year infertility patient whose lost hope in her body needs. He has a genuine love of life, people and a passion for what he does. His approach (as well as CCRM's) is super structured, extremely diligent which allows him to move through patient challenges and resolve them in an appropriate timeline. Within 1 day, we had all the answers we needed to correct our 7 year battle. Dr. Gustofson built a strategic plan that day and for 13 months we followed it diligently. We are currently 11 weeks pregnant. Our success is directly related to his knowledge, diligence and surgical skillset.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Trust him, no matter how much your hope has diminished. There is a reason he requires all the tests he does—they provide him immense knowledge and give him all the tools he needs to make the most educated plan for you. No matter what has happened in your past, trust that he will lead you down the right one.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
After 7 years of infertility, Dr. Gustofson used the perfect balance of science and humanity to treat us. He spent time to get to know my body and both my husband and I. He never gave up or doubted my body's ability to do this even though maybe I had. He restored my faith that this body is capable of miracles.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
When we met with Dr. Gustofson in May of 2017, he diagnosed us with a uterine infection (endometritis), a polyp and a septum (one that was supposidly removed 3 previous times). He created a plan that included—a 2 month treatment to remove inflammation and the infection, then a hysterscopy with septum resection, a follow-up in office hysterscopy to confirm the septum, infection and scar tissue were no longer, a mock cycle to test my responsiveness, a uterine biopsy (Beta 3 Integrins Test), another follow-up in office hysterscopy, a retrieval (midluteal oral estrogen priming antagonist protocol), another follow-up in office hysterscopy with endo scratch and FET (Blast, BCPs/Lupron/Suppository/P4 in Oil QOD.
All procedures were smooth. The most important step we believe was the constant checking of my uterus to confirm what had been done to it, was in fact done and showing the intended results. As a patient who has a thin lining due to multiple D&Cs, this step was essential. I was told previously that I had Asherman's—Dr. Gustofson never mentioned he. He in fact, never was intimidated by my uterus. Baby step, by baby step, he treated it and scrubbed my uterus till it was in the most perfect state. We tested meds till we found the right ones. In fact, we almost did not transfer because there was fluid in my uterus (which had happened in the past) HOWEVER we did because he believed in it. He said the fluid was mucosa and would go away, if not, they'd suction. Well, transfer day is was gone. He was right, AGAIN and we are currently 11 weeks pregnant.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Nurse Sarah)
Nurse Sarah was thoughtful, diligent and the perfect match for my needs. She understand all that we had been through and was understanding when I needed a quick phone chat to run through details, again.
Describe your experience with CCRM Colorado.
CCRM has mostly strengths—their super structured, diligent practice delivers results in a reasonable timeline. Infertility is not fast, it is not cheap. I don't believe one can go in thinking it is. CCRM handles the process as perfectly as one can.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
We spent around 24k for retrieval & transfer with with CCS. This included all labs and scans for both. Not included was meds which were around 6k. We spent another 10k on surgeries and in-office hysterscopies. Our full day of tests cost around 4-5k. Travel was additional.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
We transferred 1 very high quality embryo and it worked. Due to thin lining, we felt 1 was best.
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I can't recommend Dr. G [Gustofson] highly enough. I felt like he was 100% committed to getting and keeping me pregnant from the day we first met with him. He has a wonderful sense of humor and great bedside manner...he always explains everything with solid data behind it, and really clearly described every step along the way so that we had a full understand of the treatment, risks, success rates etc. I also appreciated that he was honest with the success rates and only addressed live birth rates, since getting pregnant and having a miscarriage accomplishes nothing but heartbreak. We went through a very difficult period after the egg retrieval where my lining simply wouldn't get thick enough to transfer an embryo, despite every trick in the book. Dr. G never lost faith, and did an unusual protocol for me that they hardly ever do, but he was confident it would work in my situation.
The strengths are their success rates, and the staff. Everyone from the receptionist, to the nurses, to the ultrasound techs, to our doctor, was amazing. ...My one issue with CCRM was the billing department. They are REALLY BAD - we were all self pay, which makes things easy on their end without having to haggle with insurance. Despite that, there were a number of mistakes and issues, including charging us an extra $4k after a transfer for line items they forgot to charge us for.
How was your experience with Robert Gustofson at CCRM Colorado?
I can't recommend Dr. G highly enough. I felt like he was 100% committed to getting and keeping me pregnant from the day we first met with him. He has a wonderful sense of humor and great bedside manner, both of which I knew I needed for this journey. That said, he always explains everything with solid data behind it, and really clearly described every step along the way so that we had a full understand of the treatment, risks, success rates etc. I also appreciated that he was honest with the success rates and only addressed live birth rates, since getting pregnant and having a miscarriage accomplishes nothing but heartbreak. We went through a very difficult period after the egg retrieval where my lining simply wouldn't get thick enough to transfer an embryo, despite every trick in the book. Dr. G never lost faith, and did an unusual protocol for me that they hardly ever do, but he was confident it would work in my situation. It did, and I'm now pregnant! I can't recommend him highly enough if you are just starting out, or have almost given up at other clinics. It is so important to have complete trust in the RE steering the ship for you.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Ask as many questions as you need to feel like you understand your treatment, success rates etc. He is incredibly patient and understanding. He and his wife went through fertility treatment, so I think he understands the anxieties more than most doctors. Another tip? If you're at a crossroads in your treatment, ask him what he would do in your situation if it was him/his wife. He'll give you the real honest answer which can sometimes be different than the doctor answer, and can be a valuable data point to help make your decision.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
I always felt like a person, not a number with Dr. G, despite CCRM being a big clinic. He always had plenty of time to answer our questions, no matter how small or dumb they may have seemed, and also understood the emotional turmoil we were going through. He also treated us as a couple which made my husband and I feel more like a united front in our goal to start a family.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
3 IUI's with increasing amounts of femera - all negative
IVF with gonal-f, menapur, cetratide
No trigger due to possible OHSS - I really appreciated this last minute change
Fertilized with ICSI due to MFI
Freeze all cycle so we could do CCS testing - 14 day 5 embryos
After testing, 13 were normal (he advised against the testing due to my age of 31, we did it for piece of mind)
1st transfer attempt with estrogen priming - cancelled due to thin lining
2nd transfer attempt with increased estrogen, estrogen shots and viagra - proceed with 6.4mm very boarderline lining. Very tough call for both of us. Transferred 1 embryo and test was negative.
3rd transfer attempt - He said he was bringing out the "big guns" with completely different protocol called a Stim FET. I was on gonal-f and cetratide to stimulate my lining with my own estrogen, since my lining got to 8 during my egg retrieval cycle. He also had me do viagra again, and do the Antihistamine protocol of pregnisone, claritin and pepcid in case my immune system was rejecting the embryo. This doozy of meds got me to a 7.2mm lining, and we transferred two embryos. His recommendation was still to do one, but he was willing to do 2 at our request since the lining protocol was so tough for me, and we were ok with the prospect of twins. That cycle worked and I'm now 12 weeks with B/G twins!
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Started with Melissa, transfered to Carolyn after she left)
I started off with a wonderful nurse named Melissa. Right after my first IVF FET transfered failed, she left very abruptly which felt like such a kick in the gut when I was down. Despite that, CCRM seamlessly helped me transition to Carolyn, who was equally as wonderful. She has been a fertility nurse for years and you could tell she knew exactly what she was doing. She was very willing to answer all my endless questions and always got back to me really quickly.
Describe your experience with CCRM Colorado.
The strengths are their success rates, and the staff. Everyone from the receptionist, to the nurses, to the ultrasound techs, to our doctor, was amazing. I will say that absolutely get treated at the Lousiville office if you can - they definitely have a better nursing staff and a more friendly vibe than the Lone Tree office (you go there on weekends regardless). My one issue with CCRM was the billing department. They are REALLY BAD - we were all self pay, which makes things easy on their end without having to haggle with insurance. Despite that, there were a number of mistakes and issues, including charging us an extra $4k after a transfer for line items they forgot to charge us for. I have heard they have hired someone new to hopefully improve things, so just know that the billing side will be tough. The quality of the care far outweighs the frustrations with the billing however!
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
All in start to finish, we spent about $65k.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
He very strongly pushes for eSET for the first transfer if your prognosis is good. The general rule at CCRM is two single transfers with CCS embryos, then doing a double transfer if both fail. In our case we were so wrecked after the first failure, and the drugs I had to take for each transfer attempt were essentially all the IVF stim meds (with the associated cost as well) that he didn't have a problem with our request to transfer 2 embryos on our second try. For reference, all our transfers were with CCS tested embryos. He was honest about the risks of multiples and the goal for one healthy baby. He's not interested in you "trying" for twins, and he's absolutely right. But, if you get to the point where its just not happening, he's absolutely willing to adjust course and put in more than 1.
What specific things went wrong at CCRM Colorado?
- Lost or damaged samples
Describe the specific things that went wrong at CCRM Colorado.
I had an endometrial biopsy done after my first failed FET. The sample was damage/dried up in between transfer from one lab to another. Note that neither of these were CCRM labs, they outsourced this particular test since it isn't done very often. Even though it really wasn't CCRM's fault, they did my second biopsy for free as a consolation which I appreciated.
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I would highly recommend Dr. G [Gustofson]. He was honest about the odds, but still could be very personable and warm. I never felt rushed and could always ask as many questions as I needed to feel comfortable. He was also very available via the clinic's portal and answered emails within 1 business day. There were also a few occasions when he called me to discuss my situation.... Being over 40 years old with no other challenges, he tried a typical protocol for retrieval.
The strength is the empathy and compassion that the majority of the staff [CCRM Colorado] have for their patients. Regardless of who I interacted with during my many visits over a year and a half, the staff were great. As challenging and emotional as this process can be, it's nice to have caring staff to work with. I also feel their counseling staff were amazing.... $60,000 for embryo banking plan (3 cycles) plus one FET
How was your experience with Robert Gustofson at CCRM Colorado?
I would highly recommend Dr. G. He was honest about the odds, but still could be very personable and warm. I never felt rushed and could always ask as many questions as I needed to feel comfortable. He was also very available via the clinic's portal and answered emails within 1 business day. There were also a few occasions when he called me to discuss my situation. I appreciated the personal touches. I would have no concerns about recommending him to anyone.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Always ask questions. He will share all of his knowledge and expertise.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr. G is a warm and caring individual and always made me feel like a human. It was his personality and affect that would help to soften the blow of bad news.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
Being over 40 years old with no other challenges, he tried a typical protocol for retrieval. When I'd ovulated prior to retrieval, he switched up the protocol and monitored more closely to prevent premature ovulation. That second cycle didn't produce the desired amount of eggs. He'd then recommended embryo banking. The next two cycles were more successful given the changes he'd made to encourage more eggs. Unfortunately PGS testing revealed that age contributed negatively and all tested embryos were abnormal.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Monica)
From the start, Monica was very helpful and a great support through my 4 cycles. She was very caring and understanding and great about answering my many questions. All was excellent with Monica until my embryos were sent for PGS testing. There was a snafu and lack of communication that most likely began with Monica. It was not resolved until I pushed and pushed. It caused many days of heartache and unnecessary stress.
Describe your experience with CCRM Colorado.
The strength is the empathy and compassion that the majority of the staff have for their patients. Regardless of who I interacted with during my many visits over a year and a half, the staff were great. As challenging and emotional as this process can be, it's nice to have caring staff to work with. I also feel their counseling staff were amazing.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
$60,000 for embryo banking plan (3 cycles) plus one FET
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
I appreciated that Dr. G was able to regroup after each cycle to come up with a game plan that worked for me.
What specific things went wrong at CCRM Colorado?
- Failed to order appropriate test
- Failed to convey critical information
Describe the specific things that went wrong at CCRM Colorado.
Regarding PGS re-testing, I had completed all the required paperwork, but the staff (I was informed that it was most likely my nurse) failed to pass along that request. It wasn't until I followed up about 3 week later asking about my results that this snafu was identified.
Review of
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He [Dr. Gustofson] is great in every way. Explains things in a simple way. Great, funny, professional personality. Answers every question. I never felt like "just a number"... Couldn't ask for a better provider for our journey. He is great in every way. I have no complaints about him as a provider. He is compassionate about what he does and wants to best possible outcome for his patients. Eases my anxiety about this journey and focuses on my needs for treatment.
Clinic itself [CCRM] is great. Answers every question in a timely manner. Is flexible with scheduling. Everyone is respectful. Their business office is difficult to work with. Impossible to contact over the phone. Leave messages and nobody calls back. When you use the patient portal to email them, it takes days to hear back. This makes it hard because finances are a huge part of this process and this can become very stressful, especially when you are already dealing with stress from treatments.
How was your experience with Robert Gustofson at CCRM Colorado?
Couldn't ask for a better provider for our journey. He is great in every way. I have no complaints about him as a provider. He is compassionate about what he does and wants to best possible outcome for his patients. Eases my anxiety about this journey and focuses on my needs for treatment.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
He is great in every way. Explains things in a simple way. Great, funny, professional personality. Answers every question. I never felt like "just a number"
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
IUI x 3 with letrozole - 5 days at 5 mg. Injection of pregnyl or novarel for trigger. Several ultrasounds throughout. Follow up as needed depending on test results. 1-2 mature follicles for each round.
Negative pregnancy tests x 3 but I responded well to the medications and changes he made along the way based on test results.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Melissa)
We were assigned to Melissa, who was the best nurse we could have asked for with this process. Unfortunately she quit after our third IUI.
Describe your experience with CCRM Colorado.
Clinic itself is great. Answers every question in a timely manner. Is flexible with scheduling. Everyone is respectful.
Their business office is difficult to work with. Impossible to contact over the phone. Leave messages and nobody calls back. When you use the patient portal to email them, it takes days to hear back. This makes it hard because finances are a huge part of this process and this can become very stressful, especially when you are already dealing with stress from treatments.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
Our costs were affordable as my insurance covers 50% IUI, labs, other tests. It does not cover IVF so we won't be able to afford that.
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
NA
What specific things went wrong at CCRM Colorado?
- Failed to convey critical information
Describe the specific things that went wrong at CCRM Colorado.
I had sent an email about abnormal bleeding and never heard from anyone. In my chart, it showed someone had called but I never received a call.
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Dr Gustofson was very thorough and knowledgeable. You can tell he loves what he does and understands how emotionally draining the process is. We always felt comfortable and in good hands. We had 2 transfers that ended in miscarriage. As heartbreaking as that was, we never felt like Dr Gustofson was to blame.... I had a blood test that came back elevated in a certain area which meant my blood was too thick. So after each transfer I took daily injections of Lovenox to thin it out and prevent blood clots. With the 2nd transfer they did an antihistamine protocol which included a steroid, allergy med, and heartburn med.
The office [CCRM Colorado] is very polite, professional, and respectful. The only issues I had was when I had to talk to someone after hours. The on call person doesn’t know you or you’re background info very well so they’re not very helpful. They just do the best they can.... The egg retrevial, monitoring, and transfer were one payment of about 25,000. The second transfer was 6,500.... Testing and bloodwork was covered under insurance. We only had to pay 5%of those costs.
How was your experience with Robert Gustofson at CCRM Colorado?
Dr Gustofson was very thorough and knowledgeable. You can tell he loves what he does and understands how emotionally draining the process is. We always felt comfortable and in good hands. We had 2 transfers that ended in miscarriage. As heartbreaking as that was, we never felt like Dr Gustofson was to blame. We’ve had several Doctors that we felt it was more about the money to them and we were just a number. We have never felt that way with him. He came highly recommended to me and I would recommend him to anyone looking for a fertility specialist.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
If you’re ready to make the IVF jump, you can fully trust Dr Gustofson and his team. It’s a scary journey and you should feel confident in your Dr. You will find that with him.
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
Dr Gustofson is a very kind man who treated me and my husband like real people that he cares about.
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
I had a blood test that came back elevated in a certain area which meant my blood was too thick. So after each transfer I took daily injections of Lovenox to thin it out and prevent blood clots. With the 2nd transfer they did an antihistamine protocol which included a steroid, allergy med, and heartburn med. It is a protocol they follow if the first transfer was unsuccessful. After both miscarriages they had me come in for bloodwork and an ultrasound to make sure everything had passed and my hormone levels were returning to normal. With the first miscarriage Dr Gustofson said he thought it was a fluke and the embryo had a cardio or neurological problem. But after the second miscarriage he said he thinks there is something else besides the PCOS going on with my body and they need to do more testing. He doesn’t want to keep doing transfers when obviously something is wrong.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Carolyn )
She is very thorough and if she isn’t sure on anything she asks the doctor and gets right back to me.
Describe your experience with CCRM Colorado.
The office is very polite, professional, and respectful. The only issues I had was when I had to talk to someone after hours. The on call person doesn’t know you or you’re background info very well so they’re not very helpful. They just do the best they can.
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
Testing and bloodwork was covered under insurance. We only had to pay 5%of those costs. Each medication varied expense wise. Some were under $50 and others were a couple hundred dollars. In total they probably cost about $800. The egg retrevial, monitoring, and transfer were one payment of about 25,000. The second transfer was 6,500.
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Dr. G is a great communicator and really cares about his patients.... he [Dr. Gustofson] does really have the natural ability to deal with this very emotional issue. I appreciated him and felt very comfortable with him right away.... The nurses were so emphathetic and Dr. G called me himself with each result after transfer... We did one egg retrieval using a normal protocol and I had 21 eggs retrieved....We did do ICSI and had 11 embryos make it to day 5.
Strengths: very professional and up to date on evidenced based methods. Very compassionate and patient. Weaknesses: no payment plans available to patients and I think the mental health side of it should be available at their satellite clinics in Louisville [CCRM- Louisville] particularly...We spent approx 40,000 for one egg retrieval and 2 transfers...The nurses were so emphathetic...and almost always available to me... Make sure you are aware of all the costs going into it
How was your experience with Robert Gustofson at CCRM Colorado?
Dr. G is a great communicator and really cares about his patients. I work in healthcare and he does really have the natural ability to deal with this very emotional issue. I appreciated him and felt very comfortable with him right away.
What's one piece of advice would you give a prospective patient of Robert Gustofson at CCRM Colorado?
Make sure you are aware of all the costs going into it
During treatment, were you treated like a number or a human with Robert Gustofson at CCRM Colorado?
The nurses were so emphathetic and Dr. G called me himself with each result after transfer
Describe the protocols Robert Gustofson used in your cycles at CCRM Colorado and their degree of success.
We did one egg retrieval using a normal protocol and I had 21 eggs retrieved. We opted not to do PGS genetic testing as it costed 6,000 more. We did do ICSI and had 11 embryos make it to day 5. My first transfer started out with BC and then Lupron, progesterone suppositories and injections as well as estrogen patches , famotidine, loratidine, and asa. I transferred one embryo and my hcg came back at 34 after 9 days and resulted in a chemical pregnancy. My second transfer looked identical but they put me on prednisone as well. I transferred 2 embryos and got pregnant with a singlet but miscarried at 9.5 weeks. Now I am hoping to move on to surrogacy
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Lindsay )
She was such a sweetheart and almost always available to me
Describe your experience with CCRM Colorado.
Strengths: very professional and up to date on evidenced based methods. Very compassionate and patient.
Weaknesses: no payment plans available to patients and I think the mental health side of it should be available at their satellite clinics in Louisville particularly
Describe the costs associated with your care under Robert Gustofson at CCRM Colorado.
We spent approx 40,000 for one egg retrieval and 2 transfers
Describe Robert Gustofson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
He is very responsible in this area and I feel he does the safest thing for the patient and potential baby. I don’t think they ever transfer more than 2
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